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脾破裂:结肠镜检查后一种不常见但潜在严重的并发症。

Splenic rupture: an infrequent but potentially severe complication after colonoscopy.

机构信息

Aparato Digestivo, Hospital Comarcal de Baza, España.

Hospital Virgen de Las Nieves.

出版信息

Rev Esp Enferm Dig. 2019 Jan;111(1):82-83. doi: 10.17235/reed.2018.5719/2018.

Abstract

Splenic rupture is an infrequent compilation and can be severe without an early diagnosis. We present the case of a 53-year-old female who had undergone colonoscopy 24 hours previously and presented to the ER due to pain in left hemithorax and hypotension. She was diagnosed with a splenic rupture via abdominal computed tomography (CT). An urgent splenectomy was performed with a favorable postoperative evolution. The clinical recognition of splenic rupture is vital due to the fact that we are not as familiarized with this condition as we are with hemorrhage and perforation after colonoscopy.

摘要

脾破裂较为少见,如果早期诊断不及时,可能会很严重。我们报告了一例 53 岁女性患者,其在 24 小时前接受了结肠镜检查,因左侧胸痛和低血压到急诊就诊。腹部 CT 检查诊断为脾破裂。行紧急脾切除术,术后恢复良好。由于我们对脾破裂的熟悉程度不如对结肠镜检查后出血和穿孔的熟悉程度,因此临床识别脾破裂至关重要。

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